2019 NSHEN Annual Conference – Available online until December 6, 2019


  • clarify the specific moral/ethical aspects of moral distress
  • help participants identify root causes of moral distress in terms of values
  • validate experience of moral distress
  • provide ways to frame and describe experiences of moral distress
  • provide tools to help address and manage experiences

How To Participate:

Suggested Approach

a) Read the document titled “Introduction – Setting the Stage” below (if you are organizing a group viewing, you might want to print the .pdf and have hard copies on hand)

b) Watch videos. If you are watching all of the videos we recommend viewing them in the order posted but you can pick and choose according to your interests. We recommend pausing between videos to reflect on or discuss the questions included for each video.

c) Fill out the conference evaluation (link below) and let us know how effectively this conference met your needs

d) Download some of resource lists and contact NSHEN if you need help with accessing materials

e) Continue the discussion with colleagues and others!

Introduction – Setting the Stage

Conference Evaluation – Survey Link

Videos and Resources

Moral Distress: An Introduction

Dr. Shannon Spenceley, Associate Professor, Nursing, Health Sciences University of Lethbridge, Calgary, Alberta

Healthcare Simulations

The following scenarios were scripted exclusively for the NSHEN conference and any opinions expressed in these simulations do not necessarily reflect those of the participants in the videos.

Simulation 1 – ICU

Simulation 2 – MAiD

Panel Discussion

Dr. Abraham Rudnick, Professor, Dept of Psychiatry, School of Occupational Therapy, Dalhousie University, Halifax NS

Dr Merlinda Weinberg, Professor, School of Social Work, Dalhousie University, Halifax NS

Angela Arra, Clinical Nurse Specialist, IWK Health Cente, Halifax NS

Moral Distress: Where Do We Go from Here?

Dr. Franco Carnevale, Professor, Ingram School of Nursing, McGill University, Montreal QC

Deep Gratitude

Finally, it is important to acknowledge and thank all of those individuals who have contributed their time and expertise to this conference, including:

  • Dr. Shannon Spencely
  • Dr. Misan Lee
  • Kerry-Joy Kiefte
  • Darcy Lindzon
  • Angela Arra
  • Dr. Merlinda Weinberg
  • Dr. Abraham (Rami) Rudnick
  • Dr. Franco Carnevale
  • Lisbeth Witthoefft Nielsen
  • Krista Mleczko-Skerry
  • Amanda Porter
  • Jordan Urquhart and Matthew Stones at Dalhousie MedIT 
  • Leslie Ohene-Adjei at Airau – Lethbridge Videography 
  • Frank Rop and Stewart Mccombie at Communications Services – Communications and External Relations, McGill University
  • NSHEN Advisory Council
  • You, the viewers

Bonus footage with Dr. Shannon Spenceley – Prose from participants in Moral Distress Research Study (5mins)

Conference Evaluation – Survey Link